University of Suffolk, Ipswich, UK
University of Suffolk, Ipswich, UK.
BMJ Open. 2024 Feb 8;14(2):e074100. doi: 10.1136/bmjopen-2023-074100.
Although the sustainability of the health workforce has been identified as essential to achieving health and wider development objectives, challenges with securing and retaining the healthcare workforce persist. In the UK, there are notable shortages across a wide range of National Health Service (NHS) staff groups, with a high staff turnover indicating retention issues in the healthcare workforce. In addition, gaps exist in understanding the root cause of individual organisation's workforce deficiencies and how their practice environment factors interact to impact workforce recruitment and retention.
An exploratory mixed-methods approach will be conducted to investigate the impact of organisational practice environment factors on healthcare workforce recruitment and retention in two Integrated Care Systems (ICS) in the East of England. We will conduct an online survey of newly qualified and established nurses and allied health professionals using a questionnaire adapted from two validated instruments. Our calculation suggests a sample size of 373 participants, we will aim to surpass this in our recruitment to strengthen the statistical analyses. Multilevel linear regression models will be fitted to evaluate the association between organisational practice environmental factors and staff recruitment and retention. The qualitative interviews will explore the experiences and perspectives of staff and senior leaders to explain the survey results and any significant associations therein. Also, the interviews will explore how to strengthen the partnership between higher education institutions, Health Education England, health and care service providers, NHS nursing and allied health professional staff to enhance recruiting and retaining staff. An exploratory inductive coding and analysis will follow Braun and Clarke's recommendations to generate key themes from transcribed interview data.
Ethical approval has been obtained through the University of Suffolk Research Ethics Committee (approval number: RETH(S)22/051). Findings from our work will be disseminated through publications in peer-reviewed journals; presentations at stakeholders' events, professional and academic conferences; and short reports for stakeholders, including participating ICSs.
尽管卫生人力的可持续性已被确定为实现健康和更广泛发展目标的关键，但在确保和留住医疗保健劳动力方面仍然存在挑战。在英国，国民保健制度（NHS）的许多工作人员群体都存在明显短缺，高员工流失率表明医疗保健劳动力的保留问题。此外，人们对个别组织劳动力短缺的根本原因以及其实践环境因素如何相互作用以影响劳动力招聘和留用的理解存在差距。
将采用探索性混合方法研究在英格兰东部的两个综合护理系统（ICS）中组织实践环境因素对医疗保健劳动力招聘和保留的影响。我们将使用从两个经过验证的工具改编的问卷对新入职和已入职的护士和辅助医疗专业人员进行在线调查。我们的计算表明，我们的目标是招募 373 名参与者，以加强统计分析。将拟合多层次线性回归模型来评估组织实践环境因素与员工招聘和保留之间的关联。定性访谈将探讨员工和高级领导的经验和观点，以解释调查结果和其中任何显著关联。此外，访谈将探讨如何加强高等教育机构、英格兰卫生教育署、卫生和保健服务提供者、NHS 护理和辅助医疗专业人员之间的伙伴关系，以加强员工招聘和保留。根据 Braun 和 Clarke 的建议，将进行探索性归纳编码和分析，从转录的访谈数据中生成关键主题。
我们的工作将通过在同行评议期刊上发表文章；在利益相关者活动、专业和学术会议上发表演讲；以及为利益相关者编写简短报告（包括参与 ICS）来传播研究结果。我们已通过萨福克大学研究伦理委员会（批准号：RETH（S）22/051）获得伦理批准。
